Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland

Drug use for or during sex (‘chemsex’) among MSM has caused concern, because of the direct effects of the drugs themselves, and because of an increased risk of transmission of sexually transmitted infections (STIs). This study aimed to assess the prevalence of chemsex, associated behaviours and STIs...

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Veröffentlicht in:The International journal of drug policy 2018-02, Vol.52, p.9-15
Hauptverfasser: Glynn, Ronan W., Byrne, Niamh, O’Dea, Siobhan, Shanley, Adam, Codd, Mary, Keenan, Eamon, Ward, Mary, Igoe, Derval, Clarke, Susan
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container_title The International journal of drug policy
container_volume 52
creator Glynn, Ronan W.
Byrne, Niamh
O’Dea, Siobhan
Shanley, Adam
Codd, Mary
Keenan, Eamon
Ward, Mary
Igoe, Derval
Clarke, Susan
description Drug use for or during sex (‘chemsex’) among MSM has caused concern, because of the direct effects of the drugs themselves, and because of an increased risk of transmission of sexually transmitted infections (STIs). This study aimed to assess the prevalence of chemsex, associated behaviours and STIs among attendees at Ireland’s only MSM-specific sexual health clinic in Dublin over a six week period in 2016. The questionnaire collected demographic data, information on sexuality and sexual practice, self-reported history of treatment for STIs, and chemsex use. Key variables independently associated with treatment for STIs over the previous 12 months were identified using multivariable logistic regression. The response rate was 90% (510/568). One in four (27%) reported engaging in chemsex within the previous 12 months. Half had taken ≥2 drugs on his last chemsex occasion. One in five (23%) reported that they/their partners had lost consciousness as a result of chemsex. Those engaging in chemsex were more likely to have had more sexual partners(p
doi_str_mv 10.1016/j.drugpo.2017.10.008
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This study aimed to assess the prevalence of chemsex, associated behaviours and STIs among attendees at Ireland’s only MSM-specific sexual health clinic in Dublin over a six week period in 2016. The questionnaire collected demographic data, information on sexuality and sexual practice, self-reported history of treatment for STIs, and chemsex use. Key variables independently associated with treatment for STIs over the previous 12 months were identified using multivariable logistic regression. The response rate was 90% (510/568). One in four (27%) reported engaging in chemsex within the previous 12 months. Half had taken ≥2 drugs on his last chemsex occasion. One in five (23%) reported that they/their partners had lost consciousness as a result of chemsex. Those engaging in chemsex were more likely to have had more sexual partners(p&lt;0.001), more partners for anal intercourse (p&lt;0.001) and to have had condomless anal intercourse(p=0.041). They were also more likely to report having been treated for gonorrhoea over the previous 12 months (adjusted OR 2.03, 95% CI 1.19–3.46, p=0.009). One in four (25%) reported that chemsex was impacting negatively on their lives and almost one third (31%) reported that they would like help or advice about chemsex. These results support international evidence of a chemsex culture among a subset of MSM. 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subjects Addictions
Adolescent
Adult
Anal intercourse
Chemsex
Consciousness
Data analysis
Data collection
Drug abuse
Drug policy
Drug use
Drugs
Gonorrhea
Gonorrhoea
HIV
Homosexuality
Homosexuality, Male - statistics & numerical data
Human immunodeficiency virus
Human immunodeficiency virus – HIV
Humans
Ireland - epidemiology
Logistic Models
Male
Men who have sex with men
Men who have sex with men – MSM
Prevalence
Questionnaires
Response rates
Risk behavior
Risk-Taking
Sexual and Gender Minorities - statistics & numerical data
Sexual behavior
Sexual Behavior - statistics & numerical data
Sexual health
Sexual Partners
Sexuality
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually transmitted infections
Social networks
STD
Substance-Related Disorders - epidemiology
Surveys and Questionnaires
Unsafe Sex - statistics & numerical data
Young Adult
title Chemsex, risk behaviours and sexually transmitted infections among men who have sex with men in Dublin, Ireland
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